Donald Eric Nelson Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21545 Issued in CA

Practice address

8471 Beverly Blvd Ste 208
Los Angeles, CA 90048-3450

Phone

(323) 655-9055

Fax

(323) 655-9255

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proformance Physical Therapy and Rehabilitation, Inc.Group PAC ID 2062306509, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Proformance Physical Therapy and Rehabilitation, Inc.

  • Orthopedic Physical Therapist
  • Los Angeles, CA
  • NPI 1538166079
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1023183464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 PACIFIC AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662631",
            "telephone_number": "323-697-4046",
            "fax_number": "323-655-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8471 BEVERLY BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483450",
            "telephone_number": "323-655-9055",
            "fax_number": "323-655-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662631",
            "country_code": "US",
            "telephone_number": "323-697-4046",
            "fax_number": "323-655-9255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DONALD",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT21545",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daneshia Marie Nelson, LVN
• Daniel A Nelson
• David R Nelson, MD
• Debra Ann Nelson, LMFT
• Denise R Nelson, PHD
• Douglas Evans Nelson Jr.
• Emma Louise Mary Nelson, AMFT
• Gillian Nelson
• Glysis Nelson
• Grace Nelson

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.